Provider Demographics
NPI:1558415604
Name:HAWK SPRINGS RESCUE
Entity Type:Organization
Organization Name:HAWK SPRINGS RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LOU
Authorized Official - Middle Name:S
Authorized Official - Last Name:HUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:NREMT I
Authorized Official - Phone:307-788-1530
Mailing Address - Street 1:327 HWY 85
Mailing Address - Street 2:PO BOX 124
Mailing Address - City:HAWK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82217
Mailing Address - Country:US
Mailing Address - Phone:307-532-7052
Mailing Address - Fax:
Practice Address - Street 1:327 HIGHWAY 85
Practice Address - Street 2:
Practice Address - City:HAWK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82217
Practice Address - Country:US
Practice Address - Phone:307-532-7052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY38146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Single Specialty